| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.50 | $72.98 | $106.48 | |
Aetna
| Professional | $64.58 | $78.20 | $96.73 | |
Anthem BCBS
| Facility | $78.12 | $82.67 | $159.55 | |
Anthem BCBS
| Professional | $70.26 | $86.02 | $111.43 | |
CareSource
| Facility | $64.45 | $73.23 | $97.65 | |
CareSource
| Professional | $91.88 | $91.88 | $109.73 | |
Cigna
| Professional | $86.80 | $108.80 | $156.24 | |
United
| Professional | $86.18 | $106.16 | $146.29 |